Anda di halaman 1dari 1

SUBABAS

OFFICIAL ENTRY FORM


BAS
FUN RUN DEADLINE OF REGISTRATION:
MALE
2018
FEMALE May 11, 2018

RUN DATE: May 12, 2013


Name: ___________________________________________________________________________________________________
LAST NAME FIRST NAME MIDDLE N AME
(Saturday)
Sitio: _____________________________________________________________________________________________________ Assembly Point: Subabasbas
Covered Court
Contact Number: __________________________________Email: ______________________________________________
ZUMBA TIME: 05:00 AM
Date of Birth: ___________________________
Assembly Time: 05:30 AM
Registration Fee of Php 30.00 (Inclusive of Water and Race Bib)
Gun Time
6:00 AM

WAIVER OF LIABILTITY

I KNOW THAT:
Running is a potentially hazardous activity. By signing the Entry form and participating in Run for
Health, Run To Help on___________________, I agree to abide by the rules of this event and certify that I
am fully and physically fit and had adequately trained to finish the race and that I fully accept the
Waiver of Liability. I understand that participating in the event may involve real risk and serious
injury or even death from various causes including but not limited to falls, over exertion,
dehydration, contact with other participants, spectators, road users, effect of weather and condition
of the road. I voluntary assume all the risks associated with my participation in the event or any
activity associated with it.

I, in consideration of and as a condition of the appearance of this entry for myself, my executors,
administrators, heirs, next of kin hereby waive, release and forever discharge the event organizers,
sponsors, promoters, agents or servants from all claims, actions or damages that I may have against
them howsoever caused, arising out of in any way connected with my participation in this event.

_________________________________ _________________________________________________________
Signature over printed name Parents’ Signature for Participants 18 years below

------------------------------------------------------------------------------------------------------------------------------------

RUN FOR HEALTH


CLAIM STUB RACE PACKET MALE FEMALE

NAME: _________________________________________________________________________________________________________
Inclusive of Water and Race Bib
PAID AMOUNT